NPI | 1063845592 |
---|---|
Former Name | AMY LEE TAUBE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPCC.0014179) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2013-08-20 |
Last Update Date | 2017-04-27 |